| NPI | 1194899377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENATO VALENCIA OCAMPO President CEO 561-477-9771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME68682) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |